Adult Registration Packet

 

Download and fill out these forms if you are a first-time adult client.

 

 

Adolescent Registration Packet Download and fill out these forms if you have an adolescent between the ages of 12 and 18 coming for the first time to Heartland.

 

Child Registration Packet

 

Download and fill out these forms if you have a child under the age of 12 coming for the first time to Heartland.

 

 

Information Form

 

This document contains information about HIPAA and about basic procedures and policies at Heartland Counseling.

 

Release Professional

 

Complete this form if you would like your counselor to discuss your treatment with anyone.

 

 

 

Helpful links

National Institute of Mental Health

PsychCentral

Daily Prayer for your MP3 player